We use our hands and wrists to perform everyday tasks. Any damage to the ligaments or tendons in these areas can cause these tasks to become chores for many. The hand and wrist are complex structures, and they need the care of a specialist.
Hand and wrist problems can severely impact your life and prevent you from performing many everyday activities:
Our orthopedic surgeons are specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who understands the intricate anatomy of the wrist.
April Shenkle: I was actually in the car accident back in 2014. The day of my accident, I was actually on my way to work. I was headed down a side street, a woman had ran through a stop sign and pretty much T-boned me. My car was completely totaled, the airbags had deployed. I was unconscious for a little while. That day was rough. I remember getting out of the car after the accident and almost crouching down in pain, holding my wrist. The pain was terrible. I remember going to the hospital and they did X-rays. They came back and said, yes, it is fractured. I was like, “This is unbelievable.”
I had gone through months and months of physical therapy, and after physical therapy was over, I was still having chronic pain in my wrist. I’ve seen many, many doctors regarding it, nobody could pinpoint what was going on. One doctor was telling me one thing, another doctor was telling me another thing, so I really didn’t know who to trust and who to go to. I was told that I wasn’t a candidate for surgery, and it was something that I was going to have to live with for the rest of my life. Some doctors said that it would gradually get better over time, some doctors told me that it is what it is and that’s the way that it healed, so I was hopeless at the time.
It was so relieving when I found Dr. DeNoble. He was like a godsend. The consultation was very, very smooth. I went over all of the issues I was having with my wrist, telling him I was having chronic pain, it wasn’t going away. He pinpointed exactly what was going on and he told me that, yes, I was indeed a candidate for surgery on my wrist. I almost cried. I was so overwhelmed, I was so happy. I was like, “I can finally be free of this chronic pain.”
Dr. Peter DeNob…: I’m Dr. Peter DeNoble. I’m an orthopedic surgeon at Advanced Orthopedics and Hand Surgery Institute here in Wayne, New Jersey. I’m a hand to shoulder specialist.
When I saw her, I examined her and felt that there was something we could fix and something that we could do to make her better and get her back to living a normal life. In her case, an MRI report basically said that there was no tear and there was nothing wrong, but I knew that based on the exam and some of her findings where the wrist was slightly unstable, there was something going on there. Not only did she have the TFCC tear, she also had a small cyst in the wrist. Those are also oftentimes overlooked on MRI because so often we all have these little cysts that don’t really cause any problems, but when they do correlate with pain or tenderness, when you remove them, they do great.
When you come back in three, four weeks, you’re motion is going to be better, not perfect, just getting better.
April Shenkle: Right, okay.
I started feeling much better. I had more movement in my wrist and it was a feeling of just happiness. It was like a weight had been lifted off my shoulders, because for the first time I was having relief in my wrist. Like I said, I had chronic pain for months, even years, really, so this was the first time where I actually felt improvement. It was an amazing feeling.
I would recommend Dr. DeNoble to everyone, even if you don’t have a wrist problem. I would recommend Dr. DeNoble to everyone. His bedside manner is amazing. He’s a people person, he relates with you. He would get me right into the office right away to be checked. Just a phenomenal doctor and human being.
My name is April Shenkle and Dr. DeNoble fixed my wrist.
Am I a Candidate for Hand & Wrist Surgery?
In many cases of tendonitis or other inflammatory conditions, non-surgical treatment options are utilized first. For individuals who have sustained an obvious traumatic injury, surgery may be the only choice. In non-urgent situations, we may discuss surgery when conservative rehabilitation modalities such as physical therapy, splint therapy, medication, and other techniques are not achieving the desired outcome.
Consulting with a hand and wrist specialist doesn’t mean you agree to have surgery; it means you can find out if surgery is the option you need to consider for an optimal treatment outcome.
Hand & Wrist Pain Symptoms
Conditions affecting the hand and/or wrist can present a number of different symptoms. Every situation is different and various conditions may have their own unique signs. For example, a person with carpal tunnel syndrome may experience a sensation such as a pointer and middle finger falling asleep. Wrist pay may or may not accompany tingling and numbness in the hands. De Quervain’s tendinosis may cause pain over the outside of the thumb. Because the hands and wrists are complex joint structures, a thorough examination is vital to achieving an accurate diagnosis of pain.Consulting with a hand and wrist specialist doesn’t mean you agree to have surgery; it means you can find out if surgery is the option you need to consider for an optimal treatment outcome.
Hand & Wrist Surgeries Performed By Our Orthopedic Surgeons
Several surgical techniques exist to address issues affecting the hand or wrist. These include:
- Carpal tunnel release, in which the carpal ligament is surgically cut to relieve compression on the median nerve.
- Trigger finger release severs an area of an affected tendon sheath to release a permanently-bent finger.
- Closed reduction and fixation is a procedure that repairs broken bones in the wrist or hand.
- Tendon repair may be necessary to restore function to a tendon that has ruptured due to arthritis, trauma, or other cause.
- Joint fusion may be necessary to fuse areas of a joint for improved stability.
- Joint replacement may be necessary if the hand or wrist joint has been badly injured or deteriorated by osteoarthritis.
- Dupuytren’s contracture treatment may involve fasciotomy or fasciectomy. In one procedure, the connective tissue in the palm and fingers is surgically adjusted. In the other, your surgeon removes connective tissue.
- Some people with Dupuytren’s Contracture may be a good candidate for non-surgical Xiaflex treatment.
- Ganglion removal excises a fluid-filled growth that causes pain and cosmetic concern.
- Surgical drainage and debridement is a procedure that may be necessary to promote healing after infection or injury.
- Trapeziectomy is a bone-removing procedure performed to improve hand function and comfort.
What Kind of Recovery Can I Expect From Hand And Wrist Surgery?
The length of surgical recovery is related to the type of hand surgery performed as well as the type and severity of the condition treated. Initially, patients who undergo hand or wrist surgery can expect a degree of post-surgical pain. This is typically manageable with a prescription or over the counter medication. During our consultation for hand or wrist surgery, we provide detailed information regarding the proposed procedure and post-operative expectations.
Hand & Wrist Surgery Risks
Surgical risks include bleeding and blood clots, infection, and poor healing. There is also a risk of sensation or movement loss in the hands or fingers.
Are Results from Hand & Wrist Surgeries Permanent?
The objective of hand and wrist surgery is to improve comfort and mobility. Most patients who undergo a recommended hand or wrist procedure can enjoy an increased scope of activities compared to not having corrective surgery. Overall, the improvements following surgical intervention are typically permanent.
Risks of Avoiding Surgery
Ignoring problems with your hands or wrists could eventually lead to permanent problems. For instance, some common conditions we treat for hand and wrist surgery include:
- Distal radius fractures
- Scaphoid fractures
- Hand and finger fractures
- Wrist and hand arthritis
- Wrist ligament tears
- Carpal tunnel syndrome
- Trigger fingers
- Dupuytren’s contracture
- DRUJ injuries
- Mallet fingers
- Ganglion cysts
- Skin cancer of the hand
Avoiding surgery can lead to even more issues especially if there has been damage done to your triangular fibrocartilage complex (TFCC).
“I came to him from the hospital after an accident with four broken fingers. Not only was I in great pain but he knew right away I needed to be operated on to save my hand that was turning black. He operated on me immediately at the hospital and my hand was saved…”
“Dr. DeNoble has a rare knack for making his patients feel right at home in his office. He took the time and patience to answer any and all questions I had. I came to him from the hospital after an accident with four broken fingers. I was in great pain and he knew right away I needed to be operated on to save my hand that was turning black. He operated on me immediately at the hospital and my hand was saved. I have almost full use of it now. I would highly recommend him and his staff.”
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.